ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2R6 includes procedures performed to replace arterial structures in the left upper extremity. These ICD-10-PCS codes are used for inpatient documentation when an open surgical replacement of the left upper extremity artery is performed using a bioengineered human acellular vessel. Accurate coding within the ICD-10-PCS X2R6 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Left Upper Extremity Artery Replacement Procedure Overview

This procedure group includes open replacement of the left upper extremity artery using a bioengineered human acellular vessel and targets the cardiovascular system. These procedures involve removing and replacing all or part of the arterial segment to restore blood flow to the left upper extremity. Accurate ICD-10-PCS coding is important for inpatient documentation and influences reimbursement by correctly reflecting the clinical work performed.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
R	Operation	Replacement
6	Body Part	Upper Extremity Artery, Left

Explore openpayer tools

View all tools

ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview

Customize your policy alerts

Sign up for ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Left Upper Extremity Artery Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
R	Operation	Replacement
6	Body Part	Upper Extremity Artery, Left

When to Use

Use a code from this group when the left upper extremity artery is surgically replaced via an open approach and a bioengineered human acellular vessel is implanted. These codes apply when the operation is replacement of all or part of the arterial segment rather than bypass or repair.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2R60WA	Replacement of Left Upper Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An 68-year-old male presents to the emergency department with acute ischemia of the left hand characterized by sudden onset severe pain, pallor, coolness, and absent distal pulses after known progressive atherosclerotic disease caused critical stenosis and occlusion of the left brachial artery. Imaging demonstrates an irreconstructible segment of the left upper extremity artery requiring removal and replacement to restore perfusion. An open surgical replacement with a bioengineered human acellular vessel is performed during the inpatient admission to re-establish arterial continuity and salvage the limb. Typical codes: X2R60WA
A 55-year-old female with symptomatic claudication and a chronic high-grade stenotic lesion of the left axillary artery that has failed endovascular interventions is scheduled for a planned inpatient operation. Due to long-segment arterial damage unsuitable for patch angioplasty or bypass, the surgical team elects to perform an open replacement of the diseased left upper extremity artery using a bioengineered human acellular vessel to restore durable arterial flow to the arm. The procedure is performed electively during the inpatient stay for monitoring and postoperative vascular assessment. Typical codes: X2R60WA
A 72-year-old male with prior left upper extremity arterial reconstruction using autologous vein presents with progressive graft degeneration and recurrent ischemic symptoms; imaging shows aneurysmal change and thrombosis of the previous conduit. Because the native artery cannot be repaired and the prior graft has failed, the patient undergoes open removal of the failed conduit and replacement of the affected segment of the left upper extremity artery with a bioengineered human acellular vessel during the inpatient admission to restore patency and prevent limb loss. Typical codes: X2R60WA

Related Codes

X2R5-RIGHT-UPPER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Upper Extremity: Procedure Code Group Overview

X2R7-RIGHT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Lower Extremity: Procedure Code Group Overview

X2R8-LEFT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Left Lower Extremity: Procedure Code Group Overview

X2RJ-TRICUSPID-VALVE-REPLACEMENT

ICD-10-PCS Code For Tricuspid Valve: Procedure Code Group Overview

X2RX-THORACIC-AORTA-ARCH-REPLACEMENT

ICD-10-PCS Code For Thoracic Aorta, Arch: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2R60WA	Replacement of Left Upper Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An 68-year-old male presents to the emergency department with acute ischemia of the left hand characterized by sudden onset severe pain, pallor, coolness, and absent distal pulses after known progressive atherosclerotic disease caused critical stenosis and occlusion of the left brachial artery. Imaging demonstrates an irreconstructible segment of the left upper extremity artery requiring removal and replacement to restore perfusion. An open surgical replacement with a bioengineered human acellular vessel is performed during the inpatient admission to re-establish arterial continuity and salvage the limb. Typical codes: X2R60WA
A 55-year-old female with symptomatic claudication and a chronic high-grade stenotic lesion of the left axillary artery that has failed endovascular interventions is scheduled for a planned inpatient operation. Due to long-segment arterial damage unsuitable for patch angioplasty or bypass, the surgical team elects to perform an open replacement of the diseased left upper extremity artery using a bioengineered human acellular vessel to restore durable arterial flow to the arm. The procedure is performed electively during the inpatient stay for monitoring and postoperative vascular assessment. Typical codes: X2R60WA
A 72-year-old male with prior left upper extremity arterial reconstruction using autologous vein presents with progressive graft degeneration and recurrent ischemic symptoms; imaging shows aneurysmal change and thrombosis of the previous conduit. Because the native artery cannot be repaired and the prior graft has failed, the patient undergoes open removal of the failed conduit and replacement of the affected segment of the left upper extremity artery with a bioengineered human acellular vessel during the inpatient admission to restore patency and prevent limb loss. Typical codes: X2R60WA

Related Codes

X2R5-RIGHT-UPPER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Upper Extremity: Procedure Code Group Overview

X2R7-RIGHT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Lower Extremity: Procedure Code Group Overview

X2R8-LEFT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Left Lower Extremity: Procedure Code Group Overview

X2RJ-TRICUSPID-VALVE-REPLACEMENT

ICD-10-PCS Code For Tricuspid Valve: Procedure Code Group Overview

X2RX-THORACIC-AORTA-ARCH-REPLACEMENT

ICD-10-PCS Code For Thoracic Aorta, Arch: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview policy alerts

Left Upper Extremity Artery Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview policy alerts

Left Upper Extremity Artery Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents replacement of the left upper extremity artery using a bioengineered human acellular vessel?

What operation and body system are specified by the X2R6 code group?

In what clinical setting are codes from the X2R6 group used for documentation?

Which DRG families are related to procedures in the X2R6 group?

What approach and New Technology group are indicated for `X2R60WA`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents replacement of the left upper extremity artery using a bioengineered human acellular vessel?

What operation and body system are specified by the X2R6 code group?

In what clinical setting are codes from the X2R6 group used for documentation?

Which DRG families are related to procedures in the X2R6 group?

What approach and New Technology group are indicated for `X2R60WA`?

References